Proctosigmoidoscopy removal at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$54.74
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$238.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$46.54 with Aetna vs $7,512.21 with Medical Mutual — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Aetna | Aetna Better Health CHIP | $46.54 | ↓ -15% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $48.87 | ↓ -11% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $48.87 | ↓ -11% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $53.52 | ↓ -2% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $53.52 | ↓ -2% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $53.52 | ↓ -2% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $61.43 | ↑ +12% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $64.23 | ↑ +17% |
| United Healthcare | United Healthcare Medicaid | $67.48 | ↑ +23% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $67.48 | ↑ +23% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $67.48 | ↑ +23% |
| Geisinger | Geisinger CHIP | $67.48 | ↑ +23% |
| Geisinger | Geisinger Medicaid HC | $67.48 | ↑ +23% |
| Univera | Univera Healthy New York | $67.99 | ↑ +24% |
| Univera | Univera Essential Plan | $67.99 | ↑ +24% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $69.81 | ↑ +28% |
| Highmark | Highmark Community Blue Medicare | $73.76 | ↑ +35% |
| Amerihealth | Amerihealth Medicaid HC | $76.79 | ↑ +40% |
| Amerihealth | Amerihealth Medicaid CHC | $76.79 | ↑ +40% |
| Allwell | Allwell by Wellcare | $79.31 | ↑ +45% |
| Life Pittsburgh | Life Pittsburgh Medicare | $79.31 | ↑ +45% |
| Highmark | Highmark Security Blue | $81.69 | ↑ +49% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $84.07 | ↑ +54% |
| Devoted Medicare | Devoted Health Medicare Advantage | $84.07 | ↑ +54% |
| American Health Plans | American Health Plans Medicare | $87.24 | ↑ +59% |
| Univera | Univera Medicare | $93.34 | ↑ +71% |
| Highmark | Highmark Together Blue | $102.72 | ↑ +88% |
| Highmark | Highmark Social Mission Indemnity | $108.66 | ↑ +99% |
| Highmark | Highmark Blue High Performance | $108.66 | ↑ +99% |
| Highmark | Highmark Community Blue | $108.66 | ↑ +99% |
| Highmark | Highmark Connect Blue | $108.66 | ↑ +99% |
| Highmark | Highmark Indemnity | $108.66 | ↑ +99% |
| Highmark | Highmark Managed Care | $108.66 | ↑ +99% |
| Highmark | Highmark My Blue Access | $108.66 | ↑ +99% |
| Highmark | Highmark My Direct Blue | $108.66 | ↑ +99% |
| Highmark | Highmark Performance Blue | $108.66 | ↑ +99% |
| Highmark | Highmark Social Mission Managed Care | $108.66 | ↑ +99% |
| Univera | Univera Commercial | $121.58 | ↑ +122% |
| Cigna | Cigna Commercial | $134.43 | ↑ +146% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $154.74 | ↑ +183% |
| United Healthcare | United Healthcare Commercial | $163.14 | ↑ +198% |
| United Healthcare | United Healthcare Of OH Medicaid | $163.14 | ↑ +198% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $332.15 | ↑ +507% |
| Martin's Point | Martin's Point | $543.00 | ↑ +892% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +2168% |
| Highmark | Highmark Complete Blue Medicare | $2,427.18 | ↑ +4334% |
| Highmark | Highmark Community Blue Medicare PPO | $2,427.18 | ↑ +4334% |
| Highmark | Highmark Freedom Blue | $2,453.56 | ↑ +4382% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $2,638.23 | ↑ +4720% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $2,638.23 | ↑ +4720% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $2,638.23 | ↑ +4720% |
| Highmark | Highmark Together Blue Medicare | $2,743.76 | ↑ +4912% |
| Aetna | Aetna Medicare | $2,743.76 | ↑ +4912% |
| United Healthcare | United Healthcare Medicare | $2,743.76 | ↑ +4912% |
| Highmark | Highmark Community Blue Medicare HMO | $2,743.76 | ↑ +4912% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $2,796.53 | ↑ +5009% |
| Humana | Humana Commercial | $2,796.53 | ↑ +5009% |
| Cigna | Cigna Medicare | $2,822.91 | ↑ +5057% |
| United Healthcare | United Healthcare Medicare I-SNP | $2,822.91 | ↑ +5057% |
| United Healthcare | United Healthcare Medicare D-SNP | $2,849.29 | ↑ +5105% |
| Molina | Molina Ohio | $2,875.68 | ↑ +5153% |
| Highmark | Highmark Performance Blue Enhanced | $5,203.39 | ↑ +9406% |
| Aetna | Aetna Commercial | $5,611.52 | ↑ +10151% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $7,512.21 | ↑ +13623% |
Visitor-reported prices
Comments
Proctosigmoidoscopy removal at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $2,579.40 | $51.19 – $2,823.70 |